NPIMap

Individual provider Active NPI

Shawna Marie Longoria, FNP

  • Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1205565793
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
200157 Issued in LA
Practice address
1505 E Bert Koun Loop # 101
Shreveport, LA 71105-5723
Phone
(318) 681-7480
NPI assigned
Jun 9, 2022
Last updated
Jun 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 200157 LA Primary

Addresses

Primary practice location

1505 E Bert Koun Loop # 101
Shreveport, LA 71105-5723

Mailing address

179 Farris LN
Frierson, LA 71027-2060
Phone (318) 347-6885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220810001744 LA Practitioner - Nurse Practitioner 3678956505 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians
Healogics Specialty Physicians of Louisiana, LLCGroup PAC ID 9931425931, 4 clinicians

Practice addresses (Care Compare)

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Phone (318) 681-4138

1505 E Bert Koun Loop
201 Christus Trinity Clinic Radiology G
Shreveport, LA 71105-5723
Phone (318) 681-4640

1505 E Bert Kouns Industrial Loop
101 Christus Wound Care
Shreveport, LA 71105-5723
Phone (318) 681-7480

3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 448-6830

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200157LAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Louisiana, LLC CurrentSince Aug 18, 2025 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 12, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 12, 2022 Accepting new patients

Locations

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

1801 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 478-9585

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

1505 E Bert Kouns Industrial Loop
#101
Shreveport, LA 71105
Phone (318) 519-7555

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1205565793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 FARRIS LN",
            "city": "FRIERSON",
            "state": "LA",
            "postal_code": "710272060",
            "telephone_number": "318-347-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 E BERT KOUN LOOP # 101",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055723",
            "telephone_number": "318-681-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGORIA",
        "first_name": "SHAWNA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "200157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.